Sampling Of The Upper Throat To Find A Hidden Cancer
North Carolina rates for HCPCS 42806
Takes tissue samples from the area behind the nose, at the top of the throat, when no visible lesion can be seen. Several samples are taken systematically across the area to search for a cancer whose starting point has not been found. It is done when cancer has appeared elsewhere, such as in a neck lymph node, and the source is unknown.
Rates data updated July 2026.
How much does Sampling Of The Upper Throat To Find A Hidden Cancer cost?
$263
Typical facility fee. In North Carolina, July 2026.
Insurers have agreed to pay about $263 for this service. Most negotiated rates run $191 to $417.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $263 · 10th to 90th $138 to $2,138Professionalmedian $339 · 10th to 90th $339 to $339
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$812.83
Typical High
$7,244.36
Facility
Global
$204.17
$812.83
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,621.81
Typical High
$2,570.40
Facility
Global
$501.19
$1,621.81
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Professional
Global
$338.84
$338.84
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$389.05
Facility
Global
$138.04
$234.42
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,265.80
Typical High
$10,232.93
Facility
Global
$870.96
$4,265.80
$10,232.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$28,840.32
Facility
Global
$8,317.64
$8,317.64
$28,840.32
Where North Carolina sits
The same service costs 30.2 times more in Wyoming than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.